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KENDALL THERESA KOOSER PHARMD, CPP
NPI 1093592057
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Raleigh, NC

Active since September 13, 2023PECOS Enrolled
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614(919) 848-6946 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendall Theresa Kooser Pharmd, Cpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL THERESA KOOSER PHARMD, CPP (NPI 1093592057) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Raleigh, North Carolina, licensed in North Carolina (700622) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093592057
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameKENDALL THERESA KOOSERCredential: PHARMD, CPP
Location Address10010 FALLS OF NEUSE RDRaleigh, NC 27614-8494
Mailing AddressPo Box 803854Kansas City, MO 64180-3854 · (919) 350-0351 · Fax (919) 350-7687
Phone(919) 848-6946
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1093592057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in NC · 700622
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License RP457945 (PA)
10010 FALLS OF NEUSE RD, Raleigh, NC 27614
Open in Google Maps ↗

Other Identifiers 1

Medicaid1093592057NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Theresa Kooser Pharmd, Cpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAKEMED SPECIALISTS GROUP, LLC
Pediatrics (Pediatric Cardiology)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 235-6422
CLARA-JADE RAYMUNDO VILLAZOR FNP-C
Nurse Practitioner (Primary Care)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 848-6946
CANCER CENTERS OF NORTH CAROLINA PC
Internal Medicine (Hematology & Oncology)
10010 FALLS OF NEUSE RD, SUITE 203
RALEIGH, NC 27614
Wake County (919) 431-9201
REEM ALKADHI M.D,
Family Medicine
10010 FALLS OF NEUSE RD, SUITE 103
RALEIGH, NC 27614
Wake County (919) 848-9451
OLIVIA JEAN WELLS HODGSON FNP-BC
Nurse Practitioner (Family)
10010 FALLS OF NEUSE RD, STE 103 & 300
RALEIGH, NC 27614
Wake County (919) 848-6946
WAKEMED SPECIALISTS GROUP LLC
Internal Medicine (Rheumatology)
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 235-6454
JUSTIN VAN MINH NGUYEN MD
Urology
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 350-1570
WAKE SPECIALTY PHYSICIANS LLC
Internal Medicine
10010 FALLS OF NEUSE RD
RALEIGH, NC 27614
Wake County (919) 848-6946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Kooser's NPI number?

The NPI number for Kendall Kooser is 1093592057. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Kendall Kooser located?

Kendall Kooser practices at 10010 Falls Of Neuse Rd, Raleigh, NC 27614. The listed phone number is (919) 848-6946.

What is Kendall Kooser's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Is Kendall Kooser enrolled in Medicare?

Yes. Kendall Kooser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendall Kooser was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.